Organization Active NPI

Sharona Optical

  • Eyewear Supplier
  • Phoenix, AZ
National Provider Identifier
1306014345
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SHARONA OPTICAL
Practice address
18325 N Allied Way
Phoenix, AZ 85054-3105
Phone
(602) 467-4966
NPI assigned
Feb 12, 2008
Organization subpart
Yes
Parent organization
HORIZON EYE SPECIALISTS & LASIK CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert R McCulloch, M.D.
Title
President
Phone
(602) 953-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

18325 N Allied Way
Phoenix, AZ 85054-3105

Mailing address

18325 N Allied Way
Suite 100
Phoenix, AZ 85054-3105
Phone (602) 467-4966

National Provider Directory

National Provider Directory
Part of
Paradise Valley Eye Spe

Locations

18325 N Allied Way
Phoenix, AZ 85054
Phone (480) 419-5400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1306014345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 N ALLIED WAY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543105",
            "telephone_number": "602-467-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 N ALLIED WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543105",
            "telephone_number": "602-467-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARONA OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HORIZON EYE SPECIALISTS & LASIK CENTER",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-953-3339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.